Ditchfield Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DITCHFIELD PHYSICAL THERAPY

Practice address

141 Walnut St Apt 2
Montclair, NJ 07042-3885

Phone

(201) 888-0444

Fax

(973) 707-2313

NPI assigned

Aug 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell K. Ditchfield-Agboh, P.T.NPI 1487905444

Title

Owner

Phone

(201) 888-0444

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell K. Ditchfield-Agboh, P.T.

  • Physical Therapist
  • Montclair, NJ
  • NPI 1487905444
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1366875460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WALNUT ST APT 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423885",
            "telephone_number": "201-888-0444",
            "fax_number": "973-707-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WALNUT ST APT 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423885",
            "telephone_number": "201-888-0444",
            "fax_number": "973-707-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITCHFIELD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "DITCHFIELD-AGBOH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-888-0444",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry E Dibernardo, MD, P.C.
• Wilson Diez, PT, DPT
• Dig and Sow Horticultural Therapy LLC
• Sharae Dillard, R.N.
• Samantha Dimattia, FNP-BC
• Russell K. Ditchfield-Agboh, P.T.
• Linda Ann Ditullio, LCSW
• Divya Robin LMHC Psychotherapy PLLC
• Nonkulie Zweli Dladla, MD
• Mark Dodd, LCSW

• Physical Therapist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.